CD44 expression profile varies according to maturational subtypes and molecular profiles of pediatric T-cell lymphoblastic leukemia

<p>CD44 is a glycoprotein expressed in leucocytes and a marker of leukemia-initiating cells, being shown to be important in the pathogenesis of T cell acute lymphoblastic leukemia (T-ALL). In this study, we have (i) identified the aberrant antigenic pattern of CD44 and its isoform CD44v6 in T-...

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Main Authors: Marques, LVC, Noronha, EP, Andrade, FG, Dos Santos-Bueno, FV, Mansur, MB, Terra-Granado, E, Pombo-de-Oliveira, MS
Format: Journal article
Language:English
Published: Frontiers Media 2018
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author Marques, LVC
Noronha, EP
Andrade, FG
Dos Santos-Bueno, FV
Mansur, MB
Terra-Granado, E
Pombo-de-Oliveira, MS
author_facet Marques, LVC
Noronha, EP
Andrade, FG
Dos Santos-Bueno, FV
Mansur, MB
Terra-Granado, E
Pombo-de-Oliveira, MS
author_sort Marques, LVC
collection OXFORD
description <p>CD44 is a glycoprotein expressed in leucocytes and a marker of leukemia-initiating cells, being shown to be important in the pathogenesis of T cell acute lymphoblastic leukemia (T-ALL). In this study, we have (i) identified the aberrant antigenic pattern of CD44 and its isoform CD44v6 in T-ALL; (ii) tested the association with different T-cell subtypes and genomic alterations; (iii) identified the impact of CD44 status in T-ALL outcome. Samples from 184 patients (123 T-ALL and 61 AML; &lt;19 years) were analyzed throughout multiparametric flow cytometry. Mutations in&nbsp;<em>N/KRAS, NOTCH1, FBXW7</em>&nbsp;as well as&nbsp;<em>STIL-TAL1</em>&nbsp;and&nbsp;<em>TLX3</em>&nbsp;rearrangements were detected using standard molecular techniques. CD44 expression was characterized in all T-ALL and AML cases. Compared with AML samples in which the median fluorescence intensity (MFI) was 79.1 (1&ndash;1272), T-ALL was relatively low, with MFI 43.2 (1.9&ndash;1239); CD44v6 expression was rarely found, MFI 1 (0.3-3.7). T-ALL immature subtypes (mCD3/CD1a<sup>neg</sup>) had a lower CD44 expression, MFI 57.5 (2.7&ndash;866.3), whereas mCD3/TCR&gamma;&delta;<sup>pos</sup>&nbsp;cases had higher expressions, MFI 99.9 (16.4&ndash;866.3).&nbsp;<em>NOTCH1</em><sup>mut</sup>&nbsp;and&nbsp;<em>STIL-TAL1</em>&nbsp;were associated with low CD44 expression, whereas&nbsp;<em>N/KRAS</em><sup>mut</sup>&nbsp;and&nbsp;<em>FBXW7</em><sup>mut</sup>&nbsp;cases had intermediate expression. In relation to clinical features, CD44 expression was associated with tumor infiltrations (<em>p</em>&nbsp;= 0.065). However, no association was found with initial treatment responses and overall survival prediction. Our results indicate that CD44 is aberrantly expressed in T-ALL being influenced by different genomic alterations. Unraveling this intricate mechanism is required to place CD44 as a therapeutic target in T-ALL.</p>
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spelling oxford-uuid:e92804f8-fc8b-45b1-901b-53a4dfcf06b82022-03-27T10:52:14ZCD44 expression profile varies according to maturational subtypes and molecular profiles of pediatric T-cell lymphoblastic leukemiaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e92804f8-fc8b-45b1-901b-53a4dfcf06b8EnglishSymplectic ElementsFrontiers Media2018Marques, LVCNoronha, EPAndrade, FGDos Santos-Bueno, FVMansur, MBTerra-Granado, EPombo-de-Oliveira, MS<p>CD44 is a glycoprotein expressed in leucocytes and a marker of leukemia-initiating cells, being shown to be important in the pathogenesis of T cell acute lymphoblastic leukemia (T-ALL). In this study, we have (i) identified the aberrant antigenic pattern of CD44 and its isoform CD44v6 in T-ALL; (ii) tested the association with different T-cell subtypes and genomic alterations; (iii) identified the impact of CD44 status in T-ALL outcome. Samples from 184 patients (123 T-ALL and 61 AML; &lt;19 years) were analyzed throughout multiparametric flow cytometry. Mutations in&nbsp;<em>N/KRAS, NOTCH1, FBXW7</em>&nbsp;as well as&nbsp;<em>STIL-TAL1</em>&nbsp;and&nbsp;<em>TLX3</em>&nbsp;rearrangements were detected using standard molecular techniques. CD44 expression was characterized in all T-ALL and AML cases. Compared with AML samples in which the median fluorescence intensity (MFI) was 79.1 (1&ndash;1272), T-ALL was relatively low, with MFI 43.2 (1.9&ndash;1239); CD44v6 expression was rarely found, MFI 1 (0.3-3.7). T-ALL immature subtypes (mCD3/CD1a<sup>neg</sup>) had a lower CD44 expression, MFI 57.5 (2.7&ndash;866.3), whereas mCD3/TCR&gamma;&delta;<sup>pos</sup>&nbsp;cases had higher expressions, MFI 99.9 (16.4&ndash;866.3).&nbsp;<em>NOTCH1</em><sup>mut</sup>&nbsp;and&nbsp;<em>STIL-TAL1</em>&nbsp;were associated with low CD44 expression, whereas&nbsp;<em>N/KRAS</em><sup>mut</sup>&nbsp;and&nbsp;<em>FBXW7</em><sup>mut</sup>&nbsp;cases had intermediate expression. In relation to clinical features, CD44 expression was associated with tumor infiltrations (<em>p</em>&nbsp;= 0.065). However, no association was found with initial treatment responses and overall survival prediction. Our results indicate that CD44 is aberrantly expressed in T-ALL being influenced by different genomic alterations. Unraveling this intricate mechanism is required to place CD44 as a therapeutic target in T-ALL.</p>
spellingShingle Marques, LVC
Noronha, EP
Andrade, FG
Dos Santos-Bueno, FV
Mansur, MB
Terra-Granado, E
Pombo-de-Oliveira, MS
CD44 expression profile varies according to maturational subtypes and molecular profiles of pediatric T-cell lymphoblastic leukemia
title CD44 expression profile varies according to maturational subtypes and molecular profiles of pediatric T-cell lymphoblastic leukemia
title_full CD44 expression profile varies according to maturational subtypes and molecular profiles of pediatric T-cell lymphoblastic leukemia
title_fullStr CD44 expression profile varies according to maturational subtypes and molecular profiles of pediatric T-cell lymphoblastic leukemia
title_full_unstemmed CD44 expression profile varies according to maturational subtypes and molecular profiles of pediatric T-cell lymphoblastic leukemia
title_short CD44 expression profile varies according to maturational subtypes and molecular profiles of pediatric T-cell lymphoblastic leukemia
title_sort cd44 expression profile varies according to maturational subtypes and molecular profiles of pediatric t cell lymphoblastic leukemia
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